URBAN TREATMENT ASSOCIATES NPI 1053640797

NPI Information

NPI: 1053640797
Provider Name: URBAN TREATMENT ASSOCIATES
Classification: Clinic/Center - 261QM2800X
Specialization: Methadone
Entity Type: Organization
CLIA Number: 31D2206725
Address: 808 MARKET STREET
CAMDEN, NJ
ZIP 08102
Phone: (856) 225-0505

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NPI Details

URBAN TREATMENT ASSOCIATES is a methadone clinic center in Camden, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. URBAN TREATMENT ASSOCIATES NPI is 1053640797. The provider is registered as an organization entity type.

The provider's business location address is:

808 MARKET STREET
CAMDEN, NJ
ZIP 08102
Phone: (856) 225-0505
Fax: (856) 541-0719

The provider's authorized official is John D Hottsclaw .
The authorized official title is Board President and has the following contact phone number (856) 225-0505.

The CLIA number assigned to this NPI record is 31D2206725 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2009 and was last updated on 9/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	2000459-09	NEW JERSEY	No
2	261QM2800X	Clinic/Center	Methadone			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8635200	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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